Sydney A Green
Specialist/Technologist, Athletic Trainer in Fort Smith, AR. Individual provider (NPI-1).
NPI number1750137352
StatusActive
Last updated in NPPESApr 25, 2024
Details
- NPI
- 1750137352
- Entity type
- Individual (NPI-1)
- Name
- Sydney A Green
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2024
- Certification date
- Apr 25, 2024
- Last updated
- Apr 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4523 Armour AveFort Smith, AR 72904-4517
Phone 479-522-5181
Mailing address
4523 Armour AveFort Smith, AR 72904-4517
Phone 479-522-5181
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